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1982220331
GABRIEL ROMAN SOUZA
TAMPA, FL
NPI
1982220331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10070822)
Enumeration Date
2020-06-22
Last Update Date
2023-11-24
Business Address
GABRIEL ROMAN SOUZA MD
17 DAVIS BLVD STE 308
TAMPA, FL 33606-3438
Phone number: 210-367-6794
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Mailing Address
GABRIEL ROMAN SOUZA MD
17 DAVIS BLVD STE 308
TAMPA, FL 33606-3438
Phone number:
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